Case Reports
A case of postoperative gallbladder metastasis from gastric cancer which successfully resulted in a long-term survival
2021 Volume 35 Issue 4 Pages 678-684
Details
2021 Volume 35 Issue 4 Pages 678-684
A patient was 70-year-old man who had undergone gastrectomy for gastric cancer at 67 years of age.
He experienced severe diarrhea and a decrease in his hemoglobin level after undergoing adjuvant chemotherapy. Abdominal CT revealed thickness in the gallbladder wall and an indistinct margin between the gallbladder and the liver.
He was preoperatively diagnosed to have primary gallbladder cancer, according to the results of these examinations, and therefore an extended cholecystectomy with lymph node dissection was performed.
Histopathologically, the tumor of the resected gallbladder had the same immunostaining features as that of gastric cancer which had been resected, therefore, he was finally diagnosed to have gallbladder metastasis from the previous gastric cancer.
The patient has survived for 30 months since the resection of the gallbladder metastasis, without any sign of recurrence.
It is known that gallbladder metastasis from gastric cancer has a poor prognostic course. However, the surgical management of this disease may be able to achieve a long-term survival in cases without any other metastasis.
To our knowledge, there are no previous reports describing metachronous gallbladder metastasis from gastric cancer with a longer survival than that of our case.
